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Methods Inf Med 2003; 42(04): 437-444
DOI: 10.1055/s-0038-1634346
Original article
Schattauer GmbH

Sociotechnical Requirements Analysis for Clinical Systems

M. Reddy Ph.D.
1   School of Management and Information Systems, University of Missouri-Rolla, Rolla, MO, USA
,
W. Pratt Ph.D.
2   Division of Biomedical & Health Informatics and the Information School, University of Washington, Seattle, WA, USA
,
P. Dourish Ph.D.
3   School of Information and Computer Science, University of California-Irvine, Irvine, CA, USA
,
M. M. Shabot M.D.
4   Departments of Surgery and Enterprise Information Systems, Cedars-Sinai Medical Center, Los Angeles, CA, USA
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Publikationsverlauf

Publikationsdatum:
08. Februar 2018 (online)

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Summary

Objective: We explore sociotechnical requirements by examining the use of a computerized patient record system in an intensive care unit of a U.S. hospital and present two sociotechnical requirements, awareness and coordination, embedded in the users’ work.

Method: The study is based on observation during seven months of the use of a computerized patient record system in a surgical intensive care unit. During that period semi-formal interviews, informal interviews were held.

Results and Conclusions: A key step in the design of clinical systems is the development and analysis of requirements. However, traditional requirements analysis is based on a set of assumptions that break down in the highly collaborative, exception-filled clinical domain. Sociotechnical requirement analysis enabled the designers to gather a much richer description of the environment surrounding the computer system, highlighting awareness and coordination, embedded in the users’ work.

Keywords

Sociotechnical requirements analysis - clinical systems - computerized patient record system - collaborative work - intensive care unit
 

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